Ingabe wena noma othile emndenini wakho welashelwa umdlavuza webele? Kungenzeka ukuthi uke wezwa ngomuthi 'Neratinib'. Mhlawumbe udokotela wakho ukutshelile ukuthi uqale ukuthatha lo muthi. Lo muthi ubaluleke kakhulu obulala amangqamuzana omdlavuza. Ngakho-ke, ukuze sisuse noma yimiphi imibuzo noma ukwesaba ngalo muthi, ake sixoxe ngawo kalula nangendlela ongayiqonda.
Kalula nje, iyini iNeratinib?
I-Neratinib uhlobo lomuthi oluhlasela amaprotheni athile kumaseli omdlavuza futhi luwavimbele ukukhula. Uma sikhuluma iqiniso, isebenza "njengokwelashwa okuqondisiwe." Ivame ukusetshenziswa kakhulu ukwelapha umdlavuza webele. Lo muthi utholakala emakethe ngaphansi kwegama lomkhiqizo i-Nerlynx .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka abe nesithombe esiphelele sempilo yakho. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho ngazo.
- Isifo Sesibindi: Lokhu kubaluleke kakhulu uma unesifo sesibindi, njengoba lo muthi ungathinta indlela isibindi sakho esisebenza ngayo ukuze usisuse emzimbeni wakho.
- Ukuphelelwa amanzi emzimbeni: Uma ubhekene nokuntuleka kwamanzi emzimbeni wakho futhi usesimweni sokuphelelwa amanzi emzimbeni, sicela usitshele ngakho.
- Uma uzama ukukhulelwa noma ukhulelwe: Lokhu kubaluleke kakhulu. Kufanele ugweme ukukhulelwa ngenkathi uthatha lo muthi.
- Uma ungumama oncelisayo: Akunconywa ukuncelisa ingane yakho ngenkathi uthatha lo muthi.
- Ezinye Izinto Ezibangela Ukungezwani Nomzimba: Tshela udokotela wakho uma unezinkinga zokungezwani nomzimba ku-Neratinib noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
Ngingawusebenzisa kanjani lo muthi?
Kubaluleke kakhulu ukuphuza imithi yakho njengoba nje udokotela wakho ekutshelile. Nanka amanye amathiphu ajwayelekile okufanele uwalandele.
- Gwinya leli philisi lonke ngengilazi yamanzi .
- Ungaliphuli, ulichoboze, noma ulihlafune iphilisi.
- Thatha umuthi kanye nokudla . Lokhu kunganciphisa ukungakhululeki esiswini.
- Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke.
- Ungawuthathi lo muthi kanye nejusi likaphaphu . Kungathinta ukusebenza kahle komuthi.
- Uma uthatha umuthi oqeda i-acid (uketshezi noma iphilisi lezilonda zesisu), ungawuthathi zingakapheli amahora amathathu ngaphambi noma ngemva kokuthatha i-Neratinib.
- Ungayeki ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, yeqa. Thatha umthamo olandelayo ngesikhathi esijwayelekile. Ungalokothi uthathe amaphilisi amabili ukuze ubuyisele umthamo ophuthelwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma usola ukuthi uthathe umuthi omningi kakhulu, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Lena indawo lapho kudingeka uqaphele khona kancane. I-Neratinib ingasebenzisana neminye imithi, ukudla, kanye namakhambi. Lokhu kusho ukuthi ukuyithatha nalezi zinto kunganciphisa noma kwandise ukusebenza kahle kwe-Neratinib, noma kwandise imiphumela emibi.
Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi, amavithamini, amakhambi, kanye nezithasiselo ozithathayo, kanye nokuthi uyabhema noma uyaphuza utshwala.
Lo muthi ungasebenzisana nalokhu okulandelayo ikakhulukazi:
- Eminye imithi yokulwa namagciwane ye-HIV noma i-AIDS
- Imithi yokutheleleka kwesikhunta (isb. i-ketoconazole, i-itraconazole)
- Amanye ama-antibiotic (isib. i-clarithromycin, i-erythromycin)
- Imithi yesifo sokuwa (isib. i-carbamazepine, i-phenytoin)
- Imithi enciphisa i-asidi yesisu (isib. i-omeprazole, i-famotidine, i-lansoprazole)
- Imithi yamakhambi efana ne-St. John's Wort
- I-Grapefruit (i-Jambola)
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Amaphuzu akhethekile okufanele uwaqaphele lapho uthatha umuthi
Ukukhulelwa kanye nokuncelisa
Lokhu kubaluleke kakhulu.
- Abesifazane: Gwema ukukhulelwa ngenkathi uthatha lo muthi futhi inyanga eyodwa ngemuva kokuyeka umuthi. Khuluma nodokotela wakho mayelana nokuvimbela inzalo okufanele.
- Amadoda: Uma uthatha lo muthi, qiniseka ukuthi umlingani wakho uvimbela ukukhulelwa ngenkathi uthatha umuthi futhi izinyanga ezintathu ngemuva kokuyeka.
- Gwema ukuncelisa ingane yakho ngenkathi uthatha lo muthi kanye nenyanga eyodwa ngemuva kokuyeka.
Uhudo, ukuhlanza, kanye nokuphelelwa amanzi emzimbeni
Abanye abantu abathatha i-neratinib bangase babe nesifo sohudo esivamile. Uma unesifo sohudo esinzima, ukuhlanza, noma ukujuluka ngokweqile, ungase ulahlekelwe uketshezi oluningi emzimbeni wakho bese uphelelwa amanzi emzimbeni. Lokhu kungaba yingozi, ngakho tshela udokotela wakho ngokushesha.
Ukuhlolwa kwegazi
Ngesikhathi uthatha lo muthi, udokotela wakho angase akucele ukuthi uhlolwe igazi njalo (umsebenzi wegazi) ukuze kuqashwe izinto ezifana nokusebenza kwesibindi sakho.
Imiphumela emibi engaba khona yalo muthi
Njenganoma yimuphi umuthi, i-Neratinib ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
| Uhudo olunzima noma ukuhlanza | Uhudo olunzima izikhathi eziningana ngosuku, ukuhlanza okungenakunqandwa. |
| Izimpawu zokulimala kwesibindi | Ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi noma onsundu omnyama, indle ekhanyayo, ubuhlungu engxenyeni ephezulu kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, kanye nokukhathala okukhulu. |
| Izimpawu zomfutho wegazi ophansi | Isiyezi, amehlo aluhlaza okwesibhakabhaka, ukuquleka, izikhathi zokuquleka, ukukhathala okungavamile. |
| Izimpawu zokutheleleka | Umkhuhlane noma ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu lapho uchama. |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Imiphumela emibi evamile | Umlomo owomile, ukuphelelwa yisifiso sokudla, izilonda emlonyeni, ukuqaqamba kwemisipha, amabala abomvu esikhumbeni, ubuhlungu besisu, ukungakhululeki esiswini, ukwehla kwesisindo. |
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha amaphilisi e-Neratinib njengoba nje eyalelwe udokotela wakho, ngesikhathi esibekiwe, kanye nokudla.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, amakhambi, nazo zonke izimo zakho zezokwelapha.
- Gwema ukukhulelwa nokuncelisa ngokuphelele ngenkathi uthatha lo muthi futhi isikhathi esithile.
- Uma uzwa uhudo olunzima, ukuhlanza, noma izimpawu zokulimala kwesibindi (njengokuphuzi kwesikhumba), shayela udokotela wakho ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
- Gcina umuthi wakho ezingeni lokushisa legumbi (phakathi kwama-degree Celsius angu-20-25), kude nezingane.
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